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General NPI Number Information
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NPI Number | 1902778236
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Entity Type | Organization
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Legal Business Name | CARE CONNECT SERVICES
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 3189 POPLAR AVE STE 140
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City | WARREN
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State | MI
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Zip | 48091-2343
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Country | US
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Telephone | 313-924-3906
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Fax | 313-908-5066
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Provider Business Mailing Address
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Address Line | 24225 W 9 MILE RD STE 140
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3979
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Country | US
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Telephone | 313-924-3906
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Fax | 313-908-5066
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TINA ROBINSON
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Credential | LPN
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Telephone | 313-924-3906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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